Beta Talasemi Minör Olgusunda Tıbbi Maske Kullanımının Alt Extremite Enduransı ve Egzersiz Kapasitesi Üzerine Etkisi

Abstract

Giriş: Beta talesemi minör kliniği hafif anemi tablosu ile genellikle asemptomatik seyreder. Bulaşıcı hastalıkların son yüzyılda pandemi boyutlarında seyretmesi tıbbi maske kullanımını hayatın bir parçası haline getirmiştir. Literatür maskenin koruyucu etkilerinin yanında maske kullanıma bağlı ortaya çıkabilecek olası problem ve olumsuzlukları da mercek altına almıştır. Bu olguda beta talasemi minör tanılı olguda maske kullanımının alt extremite enduransı, egzersiz kapasitesi ve kişisel konfor düzeyi üzerine etkisi irdelenecektir. Olgu: Kadın, 1,7 m boy ve 46 kg vücut ağırlığında 21 yaşındadır. Olgu 10 gün ara ile bir gün maskesiz ve bir gün maskeli olacak şekilde sırasıyla alt ekstremite enduransını ölçmek için 30-sn otur kalk testi (30OKT), maksimal egzersiz kapasitesini ölçmek için artan hızda mekik yürüme testi (AHMYT) ve submaksimal egzersiz kapasitesini ölçmek için 6 dakika yürüme testini (6DYT) gerçekleştirdi. Testlerden önce ve sonra egzersize dair parametreler toplandı. Ayrıca olgunun maske konforu sorgulandı. Maske kullanımı ile 30OKT tekrar sayısı etkilenmezken AHMYT ve 6DYT mesafesi azaldı. Egzersize bağlı parametrelerde maskenin olumsuz etkisi ortaya çıkmazken olgunun maske konforuna dair rahatsızlık hissettiği belirlendi. Sonuç: Sonuç olarak tıbbi maske kullanımı beta talasemi minörlü kişilerde alt ekstremite enduransını etkilemezken egzersiz kapasitesini olumsuz yönde etkileyebilir. Bu kapsamda daha fazla katılımcıyı içeren çalışmaların tasarlanması faydalı olabilir.

Keywords

• Beta talasemi minör
• egzersiz toleransı
• endurans
• maske
• olgu raporu

The Effect of Medical Mask Use on Lower Extremity Endurance and Exercise Capacity in Beta Thalassemia Minor

Abstract

Introduction: The clinical course of beta thalassemia minor is usually asymptomatic with mild anemia. The pandemic proportions of infectious diseases in the last century have made the use of medical masks a part of life. In addition to the protective effects of the mask, the literature has also examined the possible problems and negativities that may arise due to mask use. In this case, the effect of mask use on lower extremity endurance, exercise capacity and personal comfort level in a patient diagnosed with beta thalassemia minor will be examined. Case: She is 21 years old, 1.7 m tall and weighs 46 kg. She performed the 30-second sit to stand test (30STS) to measure lower extremity endurance, the incremental shuttle walk test (ISWT) to measure maximal exercise capacity, and the 6-minute walk test (6MWT) to measure submaximal exercise capacity at 10-day intervals, one day unmasked and one day masked, respectively. Exercise-related parameters were collected before and after the tests. The mask comfort of the patient was also questioned. While the number of 30STS repetitions was not affected by mask use, the ISWT and 6MWT distance decreased. While there was no negative effect of the mask on exercise-related parameters, it was determined that she felt discomfort related to the use of the mask. Conclusion: The use of a medical mask does not affect lower limb endurance but may adversely affect exercise capacity in people with beta-thalassemia minor. In this context, it may be useful to design studies involving more participants.

Keywords

• Beta thalassemia minor
• exercise tolerance
• endurance
• mask
• case report

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